Difficulty: Medium
Average Score: 65%
Simulated
Passage / Scenario
A nurse is caring for a client who has bladder distention following a vaginal birth.Which of the following actions should the nurse take first?
Correct answer
C
Rationale
Assisting the client to the bathroom encourages natural voiding to relieve bladder distention, the first step to avoid invasive measures. Sitz baths, catheterization, or warm water are secondary if voiding fails.